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Compliance to
ISO 11607-1:2006
The manufacturer, Kimberly-Clark, does not accept any responsibility for the incorrect choice or misuse
of the product shown in this brochure. All information contained in this brochure is as accurate as
possible at the time of publication, however legislation and regulations are under constant review and
may change in the lifetime of this brochure. Accordingly the specification for the product may be subject
to change.
Kimberly-Clark*
Kimguard* Sterilization Wrap
Table of contents: Compliance to ISO 11607 1; 2006
Introduction
1. General requirements
Kimberly-Clark*
Kimguard* Sterilization Wrap
List of used acronyms and abbreviations
C :
degree Celsius
AAMI :
BI :
Biological Indicator
Coefficient of Variation
DIN :
ECH :
Ethylene Chlorohydrin
EN :
European Norm
EO :
Ethylene Oxide
F:
Fahrenheit
FIFO :
FTMS :
in2 :
INDA :
ISO :
IST :
kg :
Kilogram
l:
Liter
lbs :
m2:
Pounds
mbar :
milibar
Square inches
Square meter
Miligram
ml :
Mililiter
NFPA :
pH :
PVC :
Polyvinyl chloride
RH :
Relative Humidity
SAL :
SBS :
sec :
Seconds
SOPs :
STD :
UV :
Standard Deviation
Ultraviolet
Introduction
Kimguard* and Kimguard One-Step* meet the global standard for Sterile Barrier Systems (SBS): EN ISO 11607-1
and EN ISO 11607-2
The harmonization of ISO 11607 and EN 868-1 is complete, and the new Global Standard for SBSEN ISO 116071 and EN ISO 11607-2is in place. We at Kimberly-Clark* want to assure you that the KIMGUARD* Sterilization
Wrap you have relied on for years for its:
High strength
Effective barrier
Low lint
Easy aseptic presentation
fully complies with both parts of the new standard. Part 1 replaces EN 868-1 and specifies general requirements
for all SBS. Part 2 describes the validation requirements for forming, sealing, and assembly processes of SBS.
So you can continue to use KIMGUARD* Sterilization Wrap, including KIMGUARD ONE-STEP* Simultaneous
Wrap and KIMGUARD* Sequential Wrap, with confidence.
The following document should resolve most of your questions. However, if you do have additional questions,
please contact your local Kimberly-Clark sales representative.
1. General requirements
1.1 Quality systems
1.1.1 The activities described in this part of ISO 11607-1:2006
KIMGUARD* products are manufactured in our facilities in Linwood, North Carolina. This facility is certified by
the following documents:
1.2 Sampling
All testing relative to compliance to ISO 11607-1 was conducted on product randomly selected from distribution
and thus representative of normal variations.
Kimberly-Clark*
Kimguard* Sterilization Wrap .
Test method
Test
Colour leach
ASTM 3776-07
Grammage
Gelbo Lint
EN 21974
MD Tear
EN 21974
CD Tear
ISO 2758
ISO 3689
EN ISO 1924-2
Elongation (MD)
EN ISO 1924-2
Elongation (CD)
EN ISO 1924-2
EN ISO 1924-2
ISO 3781
ISO 3781
pH
DIN 58953-6:1987
Fluorescence
ASTM F2101
1.3.2 Test method validation shall demonstrate the suitability of the methods as used. The following
elements shall be included:
establishment of a rationale for the selection of the appropriate tests for the packaging system;
establishment of acceptance criteria;
determination of test method repeatability;
determination of test method reproducibility;
establishment of test method sensitivity for integrity tests.
This information is documented in our Design Control system and also in specific test methods.
1.3.3 Unless otherwise specified in the test methods, test samples shall be conditioned at 23 ( 1)C
and 50 ( 2)% relative humidity for a minimum of 24 h.
All test results were conditioned at 23C and 50% RH. The BFE method calls for different conditioning
parameters, so the parameters specified in the method were used. All other tests were conditioned per
the requirements of the specific method.
Kimberly-Clark*
Kimguard* Sterilization Wrap .
1.4 Documentation
1.4.1 Demonstration of compliance with the requirements of this part of ISO 11607 shall be documented.
1.4.2 All documentation shall be retained for a specified period of time. The retention period shall consider factors
such as regulatory requirements, expiry date and traceability of the medical device or sterile barrier system.
The Kimberly-Clark* Corporate Records Retention procedures are followed, which currently state a Lot and
batch record retention period of 10 years from the production date.
See paragraph 2.5.2. for the ideal temperature range immediately prior to use.
b) pressure range
KIMGUARD* products are not impacted by variations in pressure differences during normal conditions of use.
c) humidity range
EO sterilization should be performed at 40% - 80% relative humidity.
See paragraph 2.5.2 for the ideal humidity range immediately prior to use.
g) bioburden
During the whole manufacturing process, environmental conditions are controlled and bio-burden is monitored.
As the sterilant penetration and post-sterilization shelf life studies were successfully completed on random
Kimberly-Clark*
Kimguard* Sterilization Wrap .
lots of wrap, it was proven that existing bioburden levels on the wrap are not an issue for sterilization.
h) electrostatic conductivity
KIMGUARD* wraps are treated with less than 0.009% by weight of a potassium phosphate anti-static treatment.
2.1.3 The source, history and traceability of all materials, especially recycled materials, shall be known and
controlled to ensure that the finished product will consistently meet the requirements of this part of ISO 11607.
The source, history and traceability of all materials are controlled by the internal quality systems.
2.1.4 The following properties shall be evaluated:
a) microbial barrier (see 2.2)
The microbial barrier function of the KIMGUARD* sterilization wraps was validated using the BFE test.
Kimberly-Clark*
Kimguard* Sterilization Wrap .
b) Materials shall be free of holes, cracks, tears, creases or localized thickening and/or thinning sufficient to
impair functioning.
The manufacturing facilities use standard operating procedures (SOPs) to routinely inspect for holes and other
visual issues and to correct any issues that may arise, with the goal that customers receive product that is free
of defects that could impair the wraps intended use. Additionally, users are instructed to examine the wrap
prior to use and to discard if damage or extraneous matter is detected.
c) Materials shall have a basis weight (mass per unit area) which is consistent with the specified value.
The KIMGUARD* Sterilization wraps do not show significant variations in basis weight. Grammage was determined
based on ASTM 3776-07.
d) Materials shall exhibit acceptable levels of cleanliness, particulate matter and linting.
KIMGUARD* wraps were tested with the GELBO lint test (IST 160.1 (01)). The test results show that the level
of linting/particulate matter/cleanliness stays well below Kimberly Clarks internal specifications.
e) Materials shall comply with established specific or minimum physical properties, such as tensile strength,
thickness variation, tear resistance, air permeance and burst strength.
All types of KIMGUARD* sterilization wraps comply with the specified physical properties as set out in EN 868-2: 2009.
f) Materials shall comply with established specific chemical characteristics (such as pH value, chloride, and
sulfate content) to meet the requirements of the medical device, packaging system or sterilization process.
All types of KIMGUARD* sterilization wraps comply with the specified chemical characteristics as set out in
EN 868-2: 2009.
Kimberly-Clark*
Kimguard* Sterilization Wrap .
g) Materials shall not contain or release material known to be toxic in sufficient quantity to cause a health hazard
either before, during or after sterilization under the conditions of use.
The wrap material is composed of polypropylene with the addition of less than 2% by weight of phthalocyanine
blue pigment, less than 1% by weight of titanium dioxide pigment, and less than 0.009% by weight of a potassium
phosphate anti-static treatment.
KIMGUARD* and KIMGUARD ONE-STEP* sterilization wrap products have been evaluated for biocompatibility.
Test samples from final finished sterilized (EO, gravity steam, and pre-vacuum steam) wrap material were
evaluated for in vitro cytotoxicity, in vivo dermal irritation and dermal sensitization potential. Results from
these studies were acceptable and did not show any sign of toxicity. Additional human subject and in vitro
studies support these results.
See 2.1.4.b
2.1.6 In addition to the requirements given in 2.1.1 through 2.1.5, adhesive-coated materials shall meet the
requirements listed below.
a) Coating patterns shall be continuous without skips or breaks in the pattern sufficient to cause a discontinuity
in the seal.
KIMGUARD* wraps are not coated.
b) Coating mass shall be consistent with the stated value.
KIMGUARD* wraps are not coated.
c) Materials shall demonstrate minimum specified seal strength when a seal is formed with another specified
material under specified conditions.
KIMGUARD* wraps are not intended to be combined with other materials for use as an SBS.
2.1.7 In addition to the requirements given in 2.1.1 through 2.1.5 and, if appropriate, 2.1.8, sterile barrier systems
and preformed sterile barrier systems shall meet the requirements listed below.
a) Materials and components, e.g. coatings, ink or chemical indicators, shall not adversely affect the medical
device by reaction, contamination and/or transfer before, during or after the defined sterilization process.
There was no change in the colorfastness of the ink caused by the sterilization cycles.
See appendix 7: Executive Summary Colorfastness Study for KIMGUARD ONE-STEP* Sterilization Wrap
b) If formed by sealing, the specified requirements for seal width and seal strength (tensile and/or burst) shall
be met.
Not applicable.
c) Peel-open characteristics shall be continuous and homogeneous, without delamination or tearing of the
material that can affect aseptic opening and presentation.
Not applicable.
d) Seals and/or closures shall provide a barrier to microorganisms.
The method of wrapping provides a tortuous path, which is a barrier to microorganisms. This was demonstrated
via maintenance of package integrity testing.
See appendix 8: Maintenance of Package Integrity Study Results for KIMGUARD* and KIMGUARD ONE- STEP*
Sterilization Wrap
Kimberly-Clark*
Kimguard* Sterilization Wrap .
2.1.8 In addition to the requirements given in 2.1.1 through 2.1.5, reusable containers shall meet the requirements
given below.
Not applicable
2.1.9 In addition to the requirements given in 2.1.1 through 2.1.5 and if appropriate, 2.1.8, reusable fabrics
shall meet the requirements given below:
KIMGUARD* sterilization wraps are non-wovens intended for single use.
2.3.2 Sterilization compatibility should be determined using a sterilizer designed, constructed and operated in
accordance with the requirements of the relevant International or European Standards.
Testing was performed at Nelson Laboratories (Salt Lake City, Utah) in accordance with the Good Laboratory
Practice regulations. The EO sterilizers used in this facility comply to EN ISO 11135-1:2007 and EN ISO 17665-1:2006.
2.3.3 The performance of the materials shall be evaluated to ensure that the material performance remains
within specified limits after exposure to all the specified sterilization processes.
KIMGUARD* wrap was tested and met specifications for strength, barrier and lint both before and after sterilization
by pre-vacuum steam at 132C (270F) for 4 minutes with a 20 minute dry time or by EO (100% EO with a
concentration of 725 mg/L at 54-55C and 40% - 80% relative humidity for 60 minutes and subsequent aeration).
Kimberly-Clark*
Kimguard* Sterilization Wrap .
2.3.4 Determination of suitability for the intended purpose shall include consideration of material variations
that will occur during normal routine supply.
All testing was conducted on products randomly selected from distribution and thus representative of normal
variations.
2.3.5 Where the product is enclosed by multiple wrappings or layers, different limits on material properties may
be set for inner and outer layers.
The sterile barrier system of KIMGUARD* always consists of 2 layers of nonwoven wrap. Whether applied
simultaneous or sequential, wrapping techniques and the quality characteristics for both layers are identical.
See appendix 7: Executive Summary Colorfastness Study for KIMGUARD ONE-STEP* Sterilization Wrap
Kimberly-Clark*
Kimguard* Sterilization Wrap .
Location should be
1) clean
2) dust free
3) away from fluorescent or ultraviolet light
Prior to Use
Condition wraps at ideal temperature and humidity for a minimum of two hours.
Temperature 68F to 73F / 20C to 23C
Relative humidity ranging from 30% to 60%
Examine wrap and discard if damage or extraneous matter is detected.
Thoroughly clean and dry items to be wrapped/packaged
Kimberly-Clark*
Kimguard* Sterilization Wrap .
Kimberly-Clark*
Kimguard* Sterilization Wrap .
Kimberly-Clark*
Kimguard* Sterilization Wrap .
Methodology
Interpretation
of Results
KIMGUARD
ONE-STEP*
KC100
Sterilization
Wrap Results1
BFE
Higher numbers
in this test indicate
better barrier
efficiency.
98.9 %4
Grab Tensile
Force is applied to the test fabric until the fabric Higher numbers
breaks. The force required to break the fabric - grab indicate a stronger
tensile load - is measured. Results are reported as fabric.
pounds of force required to break the fabric. The lower
result of CD or MD direction is reported.5
11.43 kg
(25.2 lbs)6
Resistance to
Linting
Lower numbers
in this test indicate
less lint, which
is desirable in the
operating room
environment.
3 particles6
Hydrostatic
Pressure
A higher number
indicates greater
resistance to water
penetration.
59.5 mbar6
Flammability
1 The
above results are averages based upon testing of representative samples selected randomly from distribution. Since KIMGUARD
ONE-STEP* sterilization wrap consists of two layers bonded together, all testing was conducted on two layers.
2 Nelson Laboratories, Inc., Salt Lake City, Utah, Bacterial Filtration Efficiency, Procedure No. SOP/ARO/007I.1.
3 ASTM F2101-07. Standard Test Method for Evaluating the Bacterial Filtration Efficiency (BFE) of Medical Face Mask Materials, Using a
Biological Aerosol of Staphylococcus aureus 2007.
Kimberly-Clark*
Kimguard* Sterilization Wrap .
4 Test
data generated by Nelson Laboratories, Inc., Salt Lake City, Utah via lab # 421675.
ASTM D5034-95(2001). Standard Test Method for Breaking Strength and Elongation of Textile Fabrics (Grab Test) 2001.
6 Test data generated by Integrated Paper Services, Neenah, WI via request # 9051.
7 INDA Standard test IST 160.1:1995, Resistance to Linting of Nonwoven Fabrics, 1995.
8 AATCC 127-2003. Water Resistance: Hydrostatic Pressure Test 2003. Standard Test Method for Repellency of Nonwoven Fabrics
Using the Hydrostatic Pressure Test, IST 80.4, INDA Standard Tests.
9 NFPA 702-1980. Flammability of wearing apparel
.
5
Kimberly-Clark*
Kimguard* Sterilization Wrap .
Methodology
Interpretation
of Results
KIMGUARD
ONE-STEP*
KC200
Sterilization
Wrap Results1
BFE
Higher numbers in
this test indicate
better barrier
efficiency.
99.7 %4
Grab Tensile
Force is applied to the test fabric until the fabric Higher numbers
breaks. The force required to break the fabric - grab indicate a stronger
tensile load - is measured. Results are reported as fabric.
pounds of force required to break the fabric. The lower
result of CD or MD direction is reported.5
13.2 kg
(29.1 lbs)6
Resistance to
Linting
Lower numbers in
this test indicate
less lint, which is
desirable in the
operating room
environment.
4 particles6
Hydrostatic
Pressure
A higher number
indicates greater
resistance to water
penetration.
77.4 mbar6
Flammability
1 The
above results are averages based upon testing of representative samples selected randomly from distribution. Since KIMGUARD
ONE-STEP* sterilization wrap consists of two layers bonded together, all testing was conducted on two layers.
2 Nelson Laboratories, Inc., Salt Lake City, Utah, Bacterial Filtration Efficiency, Procedure No. SOP/ARO/007I.1.
3 ASTM F2101-07. Standard Test Method for Evaluating the Bacterial Filtration Efficiency (BFE) of Medical Face Mask Materials, Using a
Biological Aerosol of Staphylococcus aureus 2007.
4 Test data generated by Nelson Laboratories, Inc., Salt Lake City, Utah via lab # 421674.
5 ASTM D5034-95(2001). Standard Test Method for Breaking Strength and Elongation of Textile Fabrics (Grab Test) 2001.
Kimberly-Clark*
Kimguard* Sterilization Wrap .
6 Test
Kimberly-Clark*
Kimguard* Sterilization Wrap .
Methodology
Interpretation
of Results
KIMGUARD
ONE-STEP*
KC300
Sterilization
Wrap Results1
BFE
Higher numbers in
this test indicate
better barrier
efficiency.
99.9 %4
Grab Tensile
Force is applied to the test fabric until the fabric Higher numbers
breaks. The force required to break the fabric - grab indicate a stronger
tensile load - is measured. Results are reported as fabric.
pounds of force required to break the fabric. The lower
result of CD or MD direction is reported.5
16.65 kg
(36.7 lbs)6
Resistance to
Linting
Lower numbers in
this test indicate
less lint, which is
desirable in the
operating room
environment.
1 particles6
Hydrostatic
Pressure
A higher number
indicates greater
resistance to water
penetration.
85.2 mbar6
Flammability
1 The above results are averages based upon testing of representative samples selected randomly from distribution. Since KIMGUARD
ONE-STEP* sterilization wrap consists of two layers bonded together, all testing was conducted on two layers.
2 Nelson Laboratories, Inc., Salt Lake City, Utah, Bacterial Filtration Efficiency, Procedure No. SOP/ARO/007I.1.
3 ASTM F2101-07. Standard Test Method for Evaluating the Bacterial Filtration Efficiency (BFE) of Medical Face Mask Materials, Using a
Biological Aerosol of Staphylococcus aureus 2007.
4 Test data generated by Nelson Laboratories, Inc., Salt Lake City, Utah via lab # 421673.
5 ASTM D5034-95(2001). Standard Test Method for Breaking Strength and Elongation of Textile Fabrics (Grab Test) 2001.
6 Test data generated by Integrated Paper Services, Neenah, WI via request # 9051.
Kimberly-Clark*
Kimguard* Sterilization Wrap .
INDA Standard test IST 160.1:1995, Resistance to Linting of Nonwoven Fabrics, 1995.
127-2003. Water Resistance: Hydrostatic Pressure Test 2003. Standard Test Method for Repellency of Nonwoven Fabrics
Using the Hydrostatic Pressure Test, IST 80.4, INDA Standard Tests.
9 NFPA 702-1980. Flammability of wearing apparel
.
8 AATCC
Kimberly-Clark*
Kimguard* Sterilization Wrap .
Methodology
Interpretation
of Results
KIMGUARD
ONE-STEP*
KC400
Sterilization
Wrap Results1
BFE
Higher numbers in
this test indicate
better barrier
efficiency.
99.9 %4
Grab Tensile
Force is applied to the test fabric until the fabric Higher numbers
breaks. The force required to break the fabric - grab indicate a stronger
tensile load - is measured. Results are reported as fabric.
pounds of force required to break the fabric. The lower
result of CD or MD direction is reported.5
Resistance to
Linting
Lower numbers in
this test indicate
less lint, which is
desirable in the
operating room
environment.
1 particles6
Hydrostatic
Pressure
A higher number
indicates greater
resistance to water
penetration.
88.6 mbar6
Flammability
1 The
23.5 kg
(51.8 lbs)6
above results are averages based upon testing of representative samples selected randomly from distribution. Since KIMGUARD
ONE-STEP* sterilization wrap consists of two layers bonded together, all testing was conducted on two layers.
2 Nelson Laboratories, Inc., Salt Lake City, Utah, Bacterial Filtration Efficiency, Procedure No. SOP/ARO/007I.1.
3 ASTM F2101-07. Standard Test Method for Evaluating the Bacterial Filtration Efficiency (BFE) of Medical Face Mask Materials, Using a
Biological Aerosol of Staphylococcus aureus 2007.
4 Test data generated by Nelson Laboratories, Inc., Salt Lake City, Utah via lab # 421672.
5 ASTM D5034-95(2001). Standard Test Method for Breaking Strength and Elongation of Textile Fabrics (Grab Test) 2001.
6 Test data generated by Integrated Paper Services, Neenah, WI via request # 9051.
Kimberly-Clark*
Kimguard* Sterilization Wrap .
INDA Standard test IST 160.1:1995, Resistance to Linting of Nonwoven Fabrics, 1995.
AATCC 127-2003. Water Resistance: Hydrostatic Pressure Test 2003. Standard Test Method for Repellency of Nonwoven Fabrics
Using the Hydrostatic Pressure Test, IST 80.4, INDA Standard Tests.
9NFPA 702-1980. Flammability of wearing apparel.
8
Kimberly-Clark*
Kimguard* Sterilization Wrap .
Methodology
Interpretation
of Results
KIMGUARD
ONE-STEP*
KC500
Sterilization
Wrap Results1
BFE
Higher numbers in
this test indicate
better barrier
efficiency.
99.9 %4
Grab Tensile
Force is applied to the test fabric until the fabric breaks. Higher numbers
The force required to break the fabric - grab tensile indicate a stronger
load - is measured. Results are reported as pounds of fabric.
force required to break the fabric. The lower result of
CD or MD direction is reported.5
25.8 kg
(56.9 lbs)6
Resistance
to Linting
Lower numbers in
this test indicate
less lint, which is
desirable in the
operating room
environment.
2 particles6
Hydrostatic
Pressure
A higher number
indicates greater
resistance to water
penetration.
109.4 mbar6
Flammability
1 The
above results are averages based upon testing of representative samples selected randomly from distribution. Since KIMGUARD
ONE-STEP* sterilization wrap consists of two layers bonded together, all testing was conducted on two layers.
2 Nelson Laboratories, Inc., Salt Lake City, Utah, Bacterial Filtration Efficiency, Procedure No. SOP/ARO/007I.1.
3 ASTM F2101-07. Standard Test Method for Evaluating the Bacterial Filtration Efficiency (BFE) of Medical Face Mask Materials, Using a
Biological Aerosol of Staphylococcus aureus 2007.
4 Test data generated by Nelson Laboratories, Inc., Salt Lake City, Utah via lab # 421671.
5 ASTM D5034-95(2001). Standard Test Method for Breaking Strength and Elongation of Textile Fabrics (Grab Test) 2001.
Kimberly-Clark*
Kimguard* Sterilization Wrap .
6 Test
Kimberly-Clark*
Kimguard* Sterilization Wrap .
Methodology
Interpretation
of Results
KIMGUARD*
KC100
Sterilization
Wrap Results1
BFE
Higher numbers in
this test indicate
better barrier
efficiency.
96.2 %4
Grab Tensile
Force is applied to the test fabric until the fabric breaks. Higher numbers
The force required to break the fabric - grab tensile load indicate a stronger
- is measured. Results are reported as pounds of force fabric.
required to break the fabric. The lower result of CD or
MD direction is reported.5
5.71 kg
(12.6 lbs)6
Resistance
to Linting
Lower numbers in
this test indicate
less lint, which is
desirable in the
operating room
environment.
3 particles6
Hydrostatic
Pressure
A higher number
indicates greater
resistance to water
penetration.
46.4 mbar6
Flammability
1 The above results are averages based upon testing of representative samples selected randomly from distribution. Since KIMGUARD*
sterilization wrap consists of one layer, all testing was conducted on one layer. Two layers have been validated for wrapping.
2 Nelson Laboratories, Inc., Salt Lake City, Utah, Bacterial Filtration Efficiency, Procedure No. SOP/ARO/007I.1.
3 ASTM F2101-07. Standard Test Method for Evaluating the Bacterial Filtration Efficiency (BFE) of Medical Face Mask Materials, Using a
Biological Aerosol of Staphylococcus aureus 2007.
4 Test data generated by Nelson Laboratories, Inc., Salt Lake City, Utah via lab # 421690.
5 ASTM D5034-95(2001). Standard Test Method for Breaking Strength and Elongation of Textile Fabrics (Grab Test) 2001.
6 Test data generated by Integrated Paper Services, Neenah, WI via request # 9051.
7 INDA Standard test IST 160.1:1995, Resistance to Linting of Nonwoven Fabrics, 1995.
Kimberly-Clark*
Kimguard* Sterilization Wrap .
AATCC 127-2003. Water Resistance: Hydrostatic Pressure Test 2003. Standard Test Method for Repellency of Nonwoven Fabrics
Using the Hydrostatic Pressure Test, IST 80.4, INDA Standard Tests.
9 NFPA 702-1980. Flammability of wearing apparel
.
Kimberly-Clark*
Kimguard* Sterilization Wrap .
Methodology
Interpretation
of Results
KIMGUARD*
KC200
Sterilization
Wrap Results1
BFE
Higher numbers in
this test indicate
better barrier
efficiency.
96.7 %4
Grab Tensile
Force is applied to the test fabric until the fabric breaks. Higher numbers
The force required to break the fabric - grab tensile load indicate a stronger
- is measured. Results are reported as pounds of force fabric.
required to break the fabric. The lower result of CD or
MD direction is reported.5
6.48 kg
(14.3 lbs)6
Resistance
to Linting
Lower numbers in
this test indicate
less lint, which is
desirable in the
operating room
environment.
2 particles6
Hydrostatic
Pressure
A higher number
indicates greater
resistance to water
penetration.
53.7 mbar6
Flammability
1 The above results are averages based upon testing of representative samples selected randomly from distribution. Since KIMGUARD*
sterilization wrap consists of one layer, all testing was conducted on one layer. Two layers have been validated for wrapping.
2 Nelson Laboratories, Inc., Salt Lake City, Utah, Bacterial Filtration Efficiency, Procedure No. SOP/ARO/007I.1.
3 ASTM F2101-07. Standard Test Method for Evaluating the Bacterial Filtration Efficiency (BFE) of Medical Face Mask Materials, Using a
Biological Aerosol of Staphylococcus aureus 2007.
4 Test data generated by Nelson Laboratories, Inc., Salt Lake City, Utah via lab # 421691.
5 ASTM D5034-95(2001). Standard Test Method for Breaking Strength and Elongation of Textile Fabrics (Grab Test) 2001.
6 Test data generated by Integrated Paper Services, Neenah, WI via request # 9051.
7 INDA Standard test IST 160.1:1995, Resistance to Linting of Nonwoven Fabrics, 1995.
Kimberly-Clark*
Kimguard* Sterilization Wrap .
AATCC 127-2003. Water Resistance: Hydrostatic Pressure Test 2003. Standard Test Method for Repellency of Nonwoven Fabrics
Using the Hydrostatic Pressure Test, IST 80.4, INDA Standard Tests.
9 NFPA 702-1980. Flammability of wearing apparel
.
Kimberly-Clark*
Kimguard* Sterilization Wrap .
Methodology
Interpretation
of Results
KIMGUARD*
KC300
Sterilization
Wrap Results1
BFE
Higher numbers in
this test indicate
better barrier
efficiency.
99.1 %4
Grab Tensile
Force is applied to the test fabric until the fabric breaks. Higher numbers
The force required to break the fabric - grab tensile indicate a stronger
load - is measured. Results are reported as pounds of fabric.
force required to break the fabric. The lower result of
CD or MD direction is reported.5
7.8 kg
(17.2 lbs)6
Resistance
to Linting
Lower numbers in
this test indicate
less lint, which is
desirable in the
operating room
environment.
1 particles6
Hydrostatic
Pressure
A higher number
indicates greater
resistance to water
penetration.
58.9 mbar6
Flammability
1 The above results are averages based upon testing of representative samples selected randomly from distribution. Since KIMGUARD*
sterilization wrap consists of one layer, all testing was conducted on one layer. Two layers have been validated for wrapping.
2 Nelson Laboratories, Inc., Salt Lake City, Utah, Bacterial Filtration Efficiency, Procedure No. SOP/ARO/007I.1.
3 ASTM F2101-07. Standard Test Method for Evaluating the Bacterial Filtration Efficiency (BFE) of Medical Face Mask Materials, Using a
Biological Aerosol of Staphylococcus aureus 2007.
4 Test data generated by Nelson Laboratories, Inc., Salt Lake City, Utah via lab # 421692.
5 ASTM D5034-95(2001). Standard Test Method for Breaking Strength and Elongation of Textile Fabrics (Grab Test) 2001.
6 Test data generated by Integrated Paper Services, Neenah, WI via request # 9051.
7 INDA Standard test IST 160.1:1995, Resistance to Linting of Nonwoven Fabrics, 1995.
Kimberly-Clark*
Kimguard* Sterilization Wrap .
AATCC 127-2003. Water Resistance: Hydrostatic Pressure Test 2003. Standard Test Method for Repellency of Nonwoven Fabrics
Using the Hydrostatic Pressure Test, IST 80.4, INDA Standard Tests.
9 NFPA 702-1980. Flammability of wearing apparel
.
Kimberly-Clark*
Kimguard* Sterilization Wrap .
Methodology
Interpretation
of Results
KIMGUARD*
KC400
Sterilization
Wrap Results1
BFE
Higher numbers in
this test indicate
better barrier
efficiency.
99.7 %4
Grab Tensile
Force is applied to the test fabric until the fabric breaks. Higher numbers
The force required to break the fabric - grab tensile indicate a stronger
load - is measured. Results are reported as pounds of fabric.
force required to break the fabric. The lower result of
CD or MD direction is reported.5
11 kg
(24.3 lbs)6
Resistance
to Linting
Lower numbers in
this test indicate
less lint, which is
desirable in the
operating room
environment.
0 particles6
Hydrostatic
Pressure
A higher number
indicates greater
resistance to water
penetration.
62.1 mbar6
Flammability
1 The above results are averages based upon testing of representative samples selected randomly from distribution. Since KIMGUARD*
sterilization wrap consists of one layer, all testing was conducted on one layer. Two layers have been validated for wrapping.
2 Nelson Laboratories, Inc., Salt Lake City, Utah, Bacterial Filtration Efficiency, Procedure No. SOP/ARO/007I.1.
3 ASTM F2101-07. Standard Test Method for Evaluating the Bacterial Filtration Efficiency (BFE) of Medical Face Mask Materials, Using a
Biological Aerosol of Staphylococcus aureus 2007.
4 Test data generated by Nelson Laboratories, Inc., Salt Lake City, Utah via lab # 421687.
5 ASTM D5034-95(2001). Standard Test Method for Breaking Strength and Elongation of Textile Fabrics (Grab Test) 2001.
6 Test data generated by Integrated Paper Services, Neenah, WI via request # 9051.
7 INDA Standard test IST 160.1:1995, Resistance to Linting of Nonwoven Fabrics, 1995.
Kimberly-Clark*
Kimguard* Sterilization Wrap .
AATCC 127-2003. Water Resistance: Hydrostatic Pressure Test 2003. Standard Test Method for Repellency of Nonwoven Fabrics
Using the Hydrostatic Pressure Test, IST 80.4, INDA Standard Tests.
9 NFPA 702-1980. Flammability of wearing apparel
.
Kimberly-Clark*
Kimguard* Sterilization Wrap .
Methodology
Interpretation
of Results
KIMGUARD*
KC500
Sterilization
Wrap Results1
BFE
Higher numbers in
this test indicate
better barrier
efficiency.
99.5 %4
Grab Tensile
Force is applied to the test fabric until the fabric breaks. Higher numbers
The force required to break the fabric - grab tensile indicate a stronger
load - is measured. Results are reported as pounds of fabric.
force required to break the fabric. The lower result of
CD or MD direction is reported.5
12 kg
(26.6 lbs)6
Lower numbers in
this test indicate
less lint, which is
desirable in the
operating room
environment.
1 particles6
Hydrostatic
Pressure
A higher number
indicates greater
resistance to water
penetration.
79.1 mbar6
Flammability
1 The above results are averages based upon testing of representative samples selected randomly from distribution. Since KIMGUARD*
sterilization wrap consists of one layer, all testing was conducted on one layer. Two layers have been validated for wrapping.
2 Nelson Laboratories, Inc., Salt Lake City, Utah, Bacterial Filtration Efficiency, Procedure No. SOP/ARO/007I.1.
3 ASTM F2101-07. Standard Test Method for Evaluating the Bacterial Filtration Efficiency (BFE) of Medical Face Mask Materials, Using a
Biological Aerosol of Staphylococcus aureus 2007.
4 Test data generated by Nelson Laboratories, Inc., Salt Lake City, Utah via lab # 421689.
5 ASTM D5034-95(2001). Standard Test Method for Breaking Strength and Elongation of Textile Fabrics (Grab Test) 2001.
6 Test data generated by Integrated Paper Services, Neenah, WI via request # 9051.
7 INDA Standard test IST 160.1:1995, Resistance to Linting of Nonwoven Fabrics, 1995.
Kimberly-Clark*
Kimguard* Sterilization Wrap .
AATCC 127-2003. Water Resistance: Hydrostatic Pressure Test 2003. Standard Test Method for Repellency of Nonwoven Fabrics
Using the Hydrostatic Pressure Test, IST 80.4, INDA Standard Tests.
9 NFPA 702-1980. Flammability of wearing apparel
.
Kimberly-Clark*
Kimguard* Sterilization Wrap .
Specification
Nr. of Layers
pH
7.8
7.7
7.7
7.2
7.2
Colour Leach
No Leach
No Leach
No Leach
No Leach
No Leach
%Sodium
Chloride
(p-value)
<0.005
<0.005
<0.005
<0.005
<0.005
%Sodium
Sulphate
(p-value)
<0.005
<0.005
<0.005
<0.005
<0.005
None
None
None
None
None
References
Centexbel Summary :MG/HS07, 7094, 7195
Report Number MG/HS07
Kimberly-Clark*
Kimguard* Sterilization Wrap .
Appendix 4: Ethylene Oxide sterilant penetration and residuals study results for KIMGUARD* and
KIMGUARD ONE-STEP* sterilization wrap
Purpose
KIMBERLY-CLARK* KIMGUARD* and KIMGUARD ONE-STEP* Wrap were validated for use with EO sterilization
to a sterility assurance level (SAL) of 10-6 using the BI overkill method. Additionally, residual levels of EO and
ECH were determined.
Test samples
AAMI challenge test packs were assembled per AAMI ST41:1999 section 7.6.1. Each test pack contained four
cotton surgical towels, one 25 cm (10 inch) length of latex tubing, one PVC airway, two biological indicators
inside needle-less 10 mL syringes and two chemical integrators and were wrapped with KIMGUARD ONE-STEP*
or KIMGUARD* Sterilization Wrap using the envelope fold.
The following models of KIMGUARD* and KIMGUARD ONE-STEP* Wrap were tested:
KC100 KIMGUARD* and KIMGUARD ONE-STEP*
KC400 KIMGUARD* and KIMGUARD ONE-STEP*
KC600 Kimguard* and Kimguard One-Step*
This study consisted of a bracket approach for sterilant penetration determination for the KIMGUARD* and
KIMGUARD ONE-STEP* Sterilization Wrap product line. Since the testing was completed for the heaviest
and lightest weight models (KC100 respectively), as well as for the mid-weight model (KC400), this testing is
representative of all models of the KIMGUARD* and KIMGUARD ONE-STEP* wrap as follows: KC100, KC200,
KC300, KC400 and KC500.
Test methodology
The packages wrapped with KIMGUARD* and KIMGUARD ONE-STEP* KC100 and KC400 were sterilized using
100% EO with a concentration of 725-735 mg/L at 131F/ 55C and 40% - 80% relative humidity. The exposure
time tested was 30 minutes, which is half of the standard hospital cycle for these conditions. Immediately
following exposure, the biological indicators were cultured for sterility.
After the half cycle was confirmed by at least three runs, another set of wrapped packages were exposed to
full cycles (60 minutes). Immediately following sterilization (0 hours aeration), the packs were tested for the
amount of residual EO and ECH. Additional packages were allowed to aerate for more typical time conditions
(8 hours at 55C and 12 hours at 43.3C) and then tested.
Test results
Biological indicator (BI) culture results from the half cycle determination runs show that all packs tested were
sterile after an exposure time of 30 minutes. The results of the sterility testing are presented in the table below,
as the number of sterile packages out of the total number of packages tested:
Wrap Model
35 of 35
35 of 35
KC100 KIMGUARD*
35 of 35
KC400 KIMGUARD*
35 of 35
Kimberly-Clark*
Kimguard* Sterilization Wrap .
As shown below, residuals analysis, after wrapped packages were exposed to full cycles (60 minutes), shows
that, even with no aeration, the wrap is well below the ANSI/AAMI/ISO 10993-7:1995/(R) 2001 requirements of:
less than 20 mg EO and
less than 12 mg of ECH.
Aeration KIMGUARD One-Step*
time and
KC100
temperature
EO(mg) ECH(mg)
Latex Tubing
Towel
EO(mg)
ECH(mg)
EO(mg)
ECH(mg)
EO(mg)
ECH(mg)
0 hours
0.215
0.151
5.564
0.024
13.991
0.128
0.606
5.220
8 hours,
55 (4)C
0.299
0.192
0.724
<0.023
0.023
0.026
0.471
3.367
12 hours,
43.3 (5)C
0.191
0.191
0.651
0.023
0.014
0.015
0.353
2.723
Latex Tubing
Towel
EO(mg)
ECH(mg)
EO(mg)
ECH(mg)
EO(mg)
ECH(mg)
0 hours
0.328
0.746
4.697
0.023
6.936
0.102
0.427
3.624
8 hours,
55 (4)C
0.356
0.356
0.637
<0.023
0.012
0.012
0.416
2.603
12 hours,
43.3 (5)C
0.301
0.262
0.775
<0.023
0.023
0.015
0.410
3.803
Aeration
time and
temperature
KIMGUARD*
KC100
Latex Tubing
Towel
EO(mg)
ECH(mg)
EO(mg)
ECH(mg)
EO(mg)
ECH(mg)
EO(mg)
ECH(mg)
0 hours
0.197
0.197
4.43
<0.023
6.79
0.086
0.415
3.61
8 hours,
55 (4)C
0.227
0.227
0.573
0.023
0.034
<0.012
0.639
3.00
12 hours,
43.3 (5)C
0.186
0.186
0.559
0.023
<0.012
<0.012
0.245
3.26
Kimberly-Clark*
Kimguard* Sterilization Wrap .
Aeration
time and
temperature
KIMGUARD*
KC400
Latex Tubing
Towel
EO(mg)
ECH(mg)
EO(mg)
ECH(mg)
EO(mg)
ECH(mg)
EO(mg)
ECH(mg)
0 hours
0.358
0.358
4.33
<0.023
7.03
0.086
0.562
4.73
8 hours,
55 (4)C
0.339
0.339
0.427
<0.023
0.012
<0.012
0.882
0.973
12 hours,
43.3 (5)C
0.488
0.329
0.465
0.023
0.022
0.012
1.08
1.15
Conclusions
The validated EO cycle for KIMGUARD* and KIMGUARD ONE-STEP* KC100 and KC400 is for 100% EO with
a concentration of 725-735 mg/L at 131F/ 55C and 40% - 80% relative humidity for 60 minutes, with aeration
consisting of 8 hours at 55 C or 12 hours at 43.3 C. (The half cycle was determined to be 30 minutes at the
previously mentioned conditions.) Additionally, residuals analysis shows that, even with no aeration, the wrap
is well below the ANSI/AAMI/ISO 10993-7:1995/(R) 2001 requirements of less than 20 mg EO and less than
12 mg of ECH.
This study consisted of a bracket approach for sterilant penetration determination for the KIMGUARD* and
KIMGUARD ONE-STEP* Sterilization Wrap product line.
References
Nelson Laboratories Protocols: 200803407 REV 01, 200900091 REV 01
Nelson Laboratories Reports: 455561, 457003, 457004, 458664, 458666, 458667
Kimberly-Clark*
Kimguard* Sterilization Wrap .
Appendix 5: Pre-vacuum steam sterilant penetration study results for KIMGUARD* and KIMGUARD
ONE-STEP* sterilization wrap
Purpose
KIMBERLY-CLARK* KIMGUARD* and KIMGUARD ONE-STEP* Wrap were validated for use with pre-vacuum
steam sterilization to a SAL of 10-6 using the BI overkill method.
Test samples
AAMI challenge test packs were assembled per AAMI ST79:2006 section 10.7.2.1. Each test pack contained
sixteen approximately 40,6 x 66 cm (16 x 26 inch) cotton surgical towels, two biological indicators, and two
chemical integrators. The contents of each package wrapped with KIMGUARD ONE-STEP* sterilization wrap
were wrapped with one application of wrap using the simultaneous wrapping method with an envelope fold.
The contents of each package wrapped with KIMGUARD* sterilization wrap were wrapped with two sheets of
wrap using the sequential wrapping method with an envelope fold.
The following models of KIMGUARD* and KIMGUARD ONE-STEP* Wrap were tested:
KC100 KIMGUARD* and KIMGUARD ONE-STEP*
KC400 KIMGUARD* and KIMGUARD ONE-STEP*
This study consisted of a bracket approach for sterilant penetration determination for the KIMGUARD* and
KIMGUARD ONE-STEP* Sterilization Wrap product line. Since the testing was completed for the heaviest
and lightest weight models, as well as for the mid-weight model (KC400), this testing is representative of all
models of the KIMGUARD* and KIMGUARD ONE-STEP* wrap as follows: KC100, KC200, KC300, KC400 and
KC500.
Test methodology
The packages wrapped with KIMGUARD* and KIMGUARD ONE-STEP* KC100 and KC400 were sterilized using a
pre-vacuum steam cycle at 270F/132C. The exposure time tested was 0.5 minutes, which is less than half of
the standard hospital cycle for these conditions. Immediately following exposure (no drying time), the biological
indicators were cultured for sterility.
Test results
Biological indicator (BI) culture results show that all packs tested were sterile after an exposure time of 0.5
minutes at 270F/132C. The results of the sterility testing are presented in the table below, as the number of
sterile packages out of the total number of packages tested:
Wrap Model
30 of 30
30 of 30
KC100 KIMGUARD*
30 of 30
KC400 KIMGUARD*
30 of 30
Kimberly-Clark*
Kimguard* Sterilization Wrap .
Conclusions
KIMGUARD* and KIMGUARD ONE-STEP* KC100 and KC400 Sterilization Wraps are validated for use with
pre-vacuum steam sterilization at 270F/132C for 4 minutes. (The half cycle was determined to be 0.5 minutes
at the previously mentioned conditions.) This study consisted of a bracket approach for sterilant penetration
determination for the KIMGUARD* and KIMGUARD ONE-STEP* Sterilization Wrap product line. Since this
cycle is valid for the heaviest and lightest weight models (KC100 respectively) and was confirmed by including
the mid-weight model (KC400), this cycle is valid for all models of the KIMGUARD* and KIMGUARD ONE-STEP*
wrap as follows: KC100, KC200, KC300, KC400 and KC500.
References
Nelson Laboratories Protocols: 200800957 REV 02, 200800958 REV 01
Nelson Laboratories Reports: 420406, 420410, 420416, 430208, 432434, 431529
Kimberly-Clark*
Kimguard* Sterilization Wrap .
KC100
OS
KC200
seq
KC200
OS
KC300
seq
KC300
OS
KC400
seq
KC400
OS
KC500
seq
KC500
OS
AVG
BW g/
m
138.78
70.33
40.58
80.44
46.36
92.34
62.25
123.73
69.46
138.78
STD
2.67
2.37
0.62
1.19
1.09
1.26
1.42
1.89
1.34
2.67
%CV
References
STM 2600 Basis Weight of Materials Not Requiring Conditioning
Kimberly-Clark*
Kimguard* Sterilization Wrap .
Appendix 7: Executive summary colorfastness study for KIMGUARD ONE-STEP* sterilization wrap
Each model of KIMGUARD ONE-STEP (KC100-KC600) was tested while non-sterile and after sterilization by
pre-vacuum steam and ethylene oxide for colorfastness of the ink used to indicate the model, lot number, and
size along one bonded edge.
Integrated Paper Services (Appleton, WI) performed the colorfastness test according to AATCC 8-2007 and
evaluated the samples against a gray scale described in the standard. The gray scale ranges from 1-5 with 1
being the lowest amount of ink transfer onto a muslin sheet and 5 being the highest amount of ink transfer.
Ten (10) samples were tested for each model and each of the sterilization methods (including non-sterile). Nonsterile samples for testing were prepared by the materials evaluation department at Kimberly-Clark. Sterile
samples were prepared from wraps sterilized at Nelson Labs (Salt Lake City, UT) using one of the following
sterilization cycles:
Sterilization Method
Sterilization Parameters
EO sterilization
Test results
Average results for each model and sterilization cycle are as follows:
Non-sterile
EO
Pre-vacuum Steam
KC100 ONE-STEP
1-2
1-2
1-2
KC200 ONE-STEP
1-2
1-2
1-2
KC300 ONE-STEP
1-2
1-2
1-2
KC400 ONE-STEP
1-2
1-2
1-2
KC500 ONE-STEP
1-2
1-2
1-2
Conclusions
These values indicate a small amount of ink transfer onto the muslin sheet for the wrap, both pre-sterile and
post-sterilization by pre-vacuum steam and EO. There was no change in the colorfastness of the ink caused by
the sterilization cycles. ISO 10993 biocompatibility testing was performed in a separate study on the sterilized
wraps with this ink, with no adverse test results.
References
Summary on file with KC.
Kimberly-Clark*
Kimguard* Sterilization Wrap .
Appendix 8: Maintenance of package integrity study results for KIMGUARD* and KIMGUARD ONE-STEP*
sterilization wrap
Purpose
KIMBERLY-CLARK* KIMGUARD* and KIMGUARD ONE-STEP* Wrap were tested for performance in maintaining
the package integrity of sterilized wrapped packages for 30 days post-sterilization. Sterilization was performed
using either pre-vacuum steam at 270F/132C for 4 minutes or using 100% EO with a concentration of 725-735 mg/L
at 131F/ 55C and 40% - 80% relative humidity for 60 minutes.
Test samples
All models of KIMGUARD* and KIMGUARD ONE-STEP* Wrap were tested:
The table below indicates the package contents for each wrap model tested. Eight gauze stacks and one
biological indicator were included in each package. The gauze stacks were positioned between the wrap
and the package contents with four stacks on top and four on bottom and were used as the items for
sterility testing. The biological indicators were placed in the center of the packages and were used to
verify the sterilization cycle efficacy. The contents of each package wrapped with KIMGUARD ONE-STEP*
sterilization wrap were wrapped with one application of wrap using the simultaneous wrapping method
with an envelope fold. The contents of each package wrapped with KIMGUARD* sterilization wrap were
wrapped with two sheets of wrap using the sequential wrapping method with an envelope fold.
Test methodology
The wrapped packages were sterilized by either pre-vacuum steam at 270F/132C for 4 minutes or by
100% EO with a concentration of 725-735 mg/L at 131F/ 55C and 40% - 80% relative humidity for 60
minutes. Following sterilization and cooling or aeration, a designated number of packages (negative controls)
were immediately tested for sterility to assure sterilizer efficacy. Both the biological indicators and the
gauze stacks from the negative controls were cultured to assure sterilizer efficacy. Additional control
packs of each wrap type were utilized to verify that the contamination could be detected, to ensure that
wet packs (for pre-vacuum steam sterilization) were not a source of contamination in the study, and to
monitor bioburden levels throughout the study. After sterilization and cooling or aeration, the test packages
were removed from the sterilizer, underwent a series of handling and transport events based upon typical
sterile package handling practices in hospitals over a 3-day period, and then were stored under controlled
conditions simulating a hospital sterile storage environment. After 30 days of storage, representative sterilized
packages were tested for sterility, wherein the 8 gauze stacks were removed from each test package and
tested for the growth of microbial contaminants. The biological indicators from the test packages were also
cultured to assure sterilizer efficacy. The table below indicates the package contents for each wrap model
tested. Eight gauze stacks and one biological indicator were included in each package. The gauze stacks
were positioned between the wrap and the package contents with four stacks on top and four on bottom
and were used as the items for sterility testing. The biological indicators were placed in the center of the
packages and were used to verify the sterilization cycle efficacy. The contents of each package wrapped with
KIMGUARD ONE-STEP* sterilization wrap were wrapped with one application of wrap using the simultaneous wrapping
method with an envelope fold. The contents of each package wrapped with KIMGUARD* sterilization wrap
were wrapped with two sheets of wrap using the sequential wrapping method with an envelope fold.
Kimberly-Clark*
Kimguard* Sterilization Wrap .
Table 1.
KIMGUARD* and
KIMGUARD ONE-STEP*
Sterilization Wrap
Models
Intended Loads
Maximum Wrapped
Descriptions of Loads
Package Content
Used in Sterility
Weights Used in Sterility Maintenance Validation
Maintenance Validation
Study
Study
KC100
1.36 kg (3 lbs)
KC200
2.7 kg (6 lbs)
2 huck towels
(17x 29) (43 x 73.6 cm)
2 fluid resistant U-drape
(68x109) (172.7 x 276.8 cm)
1 fluid resistant universal
bar drape (70 x 108)
(177.8 x 274.3 cm)
KC300
4 kg (9 lbs)
KC400
KC500
Kimberly-Clark*
Kimguard* Sterilization Wrap .
Test results
The results of the sterility testing are presented in the table below, as the number of packages with no microbial growth
out of the total number of packages tested:
Wrap Model
EO (Number of packages
with no growth)
10 of 10
10 of 10
10 of 10
10 of 10
10 of 10
10 of 10
10 of 10
10 of 10
10 of 10
10 of 10
KC100 KIMGUARD*
10 of 10
20 of 20
KC200 KIMGUARD*
10 of 10
10 of 10
KC300 KIMGUARD*
10 of 10
10 of 10
KC400 KIMGUARD*
10 of 10
10 of 10
KC500 KIMGUARD*
10 of 10
10 of 10
Conclusions
When sterilized with either pre-vacuum steam (at 270F/132C for 4 minutes) or EO (using 100% EO with a concentration of 725-735 mg/L at 131F/ 55C and 40% - 80% relative humidity for 60 minutes), sterility of the package
contents was maintained for 30 days post-sterilization for all models of KIMGUARD* and KIMGUARD ONE-STEP*
Sterilization Wrap.
References
LexaMed Reports: 08-L046, 08-L047, 08-L048, 08-L049, 08-L088, 08-L089, 08-L090, 08-L091, 08-L129, 08-L130, 08-L131, 08L-132, 09-L001, 09L024
Knowledgeable Customer Support
In-service training
Product technical support
Unsurpassed customer service
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On-site trained in hospitals
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www.HAIwatch.com
Kimberly-Clark NV/SA
Health Care Europe
Belgicastraat 13
1930 Zaventem, Belgium
Tel: +32 2 711 26 00
Fax: +32 2 711 26 90
hceurope@kcc.com
www.kchealthcare.com
Kimberly-Clark Health Care
1Tower View, Kings Hill, West Malling,
Kent, ME19 4HA, United Kingdom
Tel: +44 1732 594 000
Fax: +44 1732 594 001
For more information, please call your Kimberly-Clark representative or
visit our website at www.kchealthcare.com.
*Registered Trademark or Trademark of Kimberly-Clark Worldwide, Inc.
2010 KCWW. All rights reserved.
HC465/00-UK
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